Disorders of the biliary tract with complications in Pennsylvania
What 28 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$71,716
Hospital list price billed
Average payment
$10,529
Medicare + patient + other payers
Medicare paid
$7,871
Average per stay
State rank
#27 of 40
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $71,716 for disorders of the biliary tract with complications, about 6.8 times the average total payment of $10,529. That payment is 4% below the U.S. average of $10,996.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $10,529Billed $71,716
About 15¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: disorders of the biliary tract with complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 64 | $94,296 | $10,102 | $7,763 |
| UPMC Presbyterian ShadysidePittsburgh | 45 | $105,811 | $12,152 | $8,557 |
| Thomas Jefferson University HospitalPhiladelphia | 31 | $66,668 | $12,674 | $10,034 |
| Abington Memorial HospitalAbington | 26 | $50,558 | $9,396 | $7,613 |
| Geisinger Medical CenterDanville | 24 | $94,677 | $11,198 | $8,552 |
| Robert Packer HospitalSayre | 23 | $47,044 | $10,359 | $7,679 |
| UPMC Pinnacle HospitalsHarrisburg | 22 | $43,449 | $9,334 | $7,586 |
| Chester County HospitalWest Chester | 22 | $60,951 | $8,087 | $6,604 |
| Reading Hospital and Med CtrWest Reading | 21 | $48,470 | $10,600 | $7,763 |
| Hamot Medical CenterErie | 21 | $74,375 | $9,976 | $8,056 |
| St Luke's Hospital BethlehemBethlehem | 20 | $97,277 | $11,461 | $8,188 |
| Lancaster General HospitalLancaster | 20 | $46,250 | $9,899 | $6,818 |
| Hospital of the Univ of PaPhiladelphia | 17 | $122,563 | $14,616 | $10,858 |
| Wilkes-Barre General HospitalWilkes-Barre | 17 | $84,357 | $8,056 | $6,718 |
| Milton S Hershey Medical CenterHershey | 17 | $73,648 | $12,324 | $9,820 |
| St Luke's Hospital - Anderson CampusEaston | 17 | $83,859 | $12,690 | $8,636 |
| York HospitalYork | 16 | $43,591 | $13,355 | $7,506 |
| Allegheny General HospitalPittsburgh | 16 | $49,277 | $11,267 | $7,400 |
| Main Line Hospital PaoliPaoli | 16 | $68,464 | $7,752 | $6,521 |
| UPMC PassavantPittsburgh | 14 | $67,828 | $8,736 | $5,570 |
| Doylestown HospitalDoylestown | 14 | $35,900 | $7,815 | $6,379 |
| Saint Vincent Health CenterErie | 13 | $55,688 | $9,469 | $7,855 |
| Jefferson Health- NortheastPhiladelphia | 13 | $50,322 | $10,824 | $5,916 |
| Altoona Regional Health SystemAltoona | 12 | $36,628 | $8,565 | $6,910 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 12 | $36,006 | $10,272 | $8,075 |
| Temple University HospitalPhiladelphia | 11 | $141,337 | $14,711 | $10,739 |
| Grand View HospitalSellersville | 11 | $31,200 | $7,420 | $6,382 |
| Riddle Memorial HospitalMedia | 11 | $85,058 | $7,790 | $6,158 |
Lowest and highest payments in Pennsylvania
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Grand View HospitalSellersville, PA | $7,420 |
|---|---|
| Main Line Hospital PaoliPaoli, PA | $7,752 |
| Riddle Memorial HospitalMedia, PA | $7,790 |
| Doylestown HospitalDoylestown, PA | $7,815 |
| Wilkes-Barre General HospitalWilkes-Barre, PA | $8,056 |
Highest
| Temple University HospitalPhiladelphia, PA | $14,711 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $14,616 |
| York HospitalYork, PA | $13,355 |
| St Luke's Hospital - Anderson CampusEaston, PA | $12,690 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $12,674 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 28 hospitals in Pennsylvania was billed at $71,716 on average, while the average total payment was $10,529, of which Medicare paid $7,871. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Pennsylvania, average charges were 6.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.